Provider Demographics
NPI:1447559273
Name:ARBABI, FARKHONDEH (RDHAP)
Entity type:Individual
Prefix:MS
First Name:FARKHONDEH
Middle Name:
Last Name:ARBABI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29302 TROON ST
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1637
Mailing Address - Country:US
Mailing Address - Phone:949-212-3732
Mailing Address - Fax:949-481-7947
Practice Address - Street 1:29302 TROON ST
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1637
Practice Address - Country:US
Practice Address - Phone:949-212-3732
Practice Address - Fax:949-481-7947
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21811124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist